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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents that specify the types of medical treatment individuals desire if they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients under normal circumstances. However, he highlights situations where patients cannot communicate their wishes due to severe illness or unconsciousness. In such cases, it is crucial to have designated individuals, like a spouse, sibling, or trusted friend, to make decisions on a patient’s behalf. Advance directives ensure that medical choices align with the patients' preferences even when they cannot voice them.